Healthcare Provider Details

I. General information

NPI: 1659215531
Provider Name (Legal Business Name): SARAH ELIZABETH LINGELBACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 BOULTON ST STE A
BEL AIR MD
21014-4563
US

IV. Provider business mailing address

2102 S HILL CT
BEL AIR MD
21015-6373
US

V. Phone/Fax

Practice location:
  • Phone: 410-803-3371
  • Fax:
Mailing address:
  • Phone: 443-760-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: